go back

South Dakota rates for HCPCS 29450

Appl Clubfoot Cast Molding/Manj Long/Short Leg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.72 / $111.72 / $146.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.76 / $133.24 / $324.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.10 / $315.54 / $419.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.79 / $225.33 / $342.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.90 / $336.83 / $1,099.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.28 / $280.43 / $374.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.51 / $288.55 / $374.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.07 / $217.36 / $285.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.90 / $293.60 / $401.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.60 / $263.80 / $346.30